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Ap r22-20C2 �1:dEnm =ron-ClTY Of ORWVO +952Z4a4616 T-QBR P 003/O�c P-331 <br /> p�.RMIT FE'F.CALCULAT�QNIS) <br /> 2002 S�ate Stetute [�Yes This Secdon Appl[es <br /> 'Tjte replacemcnt of n esiden6al fixture ar ap�lianc.e_that meets�!!kttre�af tha fi�llowing requirements: <br /> 1) Does n�c aequire maditleaiion to el��ctric�l or�s sen+ic�. <br /> �) Has a tot cost of$500.�4 or I�ss;,�idiag the co�of the fixture ar applianre; <br /> and <br /> 3) Is?mprored, ittstslled or replaced t�y�the hameowner or iicensed contracto.r. <br /> Skip next section; Cost af�ennit $� i S.Oa <br /> Scate Surchar�e$ .50 <br /> Ms:i-Tn Fe;t S �1-Sa <br /> If above dues noc apply.faliar�v�uidelines below: <br /> 1, Contract Price� �s .�1?5°fo of job�vith�:VYine»ium Fee of(�3�.pQl <br /> — ��` � <br /> ' l0 �, x.0125 $ <br /> ��contrBCY pfiCP} M ;minimum 535.00) � <br /> 2.St�te SurcL���'Add the State 13uildi�rg Code Division a 1VIinimum Fe��i(�.5a1 <br /> �o�lv �, x.0005 $ �t •� o� <br /> (cDntCflCL priCe) (miasmum$.54) <br /> �.1'osta�c and Handlin�{Only nutiY in appli�uaia�s) $ 1-in <br /> �.TtaTAY.PER.:'�T lE'EE(Add 1'snes 1-3 ab�ve) g �� •� .� <br /> *C�JNTRA�T�RIC�or 10S C(35T means che acn�al or esurr.ace�i aallar amounl ehuxced for vhe pennicccd wark iiiotudir:g <br /> rnatc,iats,l�bor.profit,�►nd athcr fixcd custs.lt:s the amoum•iD be:.hargeci to the custumar fur 4�waxk done.if any m�4as;al, <br /> aquipmcnt�Iabor,or fnstallgtion is fumishtd bv the ewner,tcnant or as�y atAer partv the se�nable ntarket value of such items <br /> tnus�be added to the escirnated cnst or conuaet price far perniit foe guiqoses. In�he evcnt that there is a di�aute an the ar,�our,t of <br /> �hc o6 cost,�.4z Ciry may reques[the submission�f a sigaed copy af the ae[ual concraet. <br /> *M'Fhe STATE SURCI�t�ttGE is.0003 af'�t�e coauac:t price undrr$1,OOO,t�00 or 5.50-wF�ichcvcr is g:ea:er.For valu�zi�.as over <br /> Si,000�000 Ce'1�1 tt:C Dt_"3AYdtriCRC Qf:rs��Ctfonal SceJices tbr�he price. <br /> 'Che undnesigTtCd hcrcby ttppiies to:ht City foc issuance af a MvchAnicB[Permiy agretls W Ge all�vark in scrlct accordzncc A•idi <br /> the ar4lnsncrs of U^e Ci�r and the regulations bf ehe T�:inacsnta Scate Buildiqg Cade,and ce:tlfies that a�t sta[est�ents mfu3e on zhis <br /> applisatior.are comple�e,tr�c autd son'ect <br /> A licant's Si atur �► _.__--____--- Date: S D �' <br /> �! � <br /> AppravLjd�y: .� Dat�: <br /> 3 <br />